Dr. Dorsa Afzalian-Mand - Financing Application Form

City Centre Dentistry

10515 King George Highway, Surrey, BC V3T 2X1

Fill out our secure online form below or use our printable PDF form that you can complete and fax or mail to us.

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Medicard is Canada's premier medical financing company, and we are proud to be partnered with Dr. Dorsa Afzalian-Mand.

Please complete the form below to be one step closer to a new you. Go ahead ... Now you can afford to!


Financing Application Form

Begin the application

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About You

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If you have any further information, or have any questions, please contact us at and we will be happy to assist you.

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